title: [Nasal closure as definitive treatment for epistaxis in Rendu-Osler-Weber disease].
abstract: OBJECTIVE
  To show the result of this surgical technique for the treatment of nasal bleeding in Rendu-Osler-Weber disease.
  
  
  METHODS
  After great efforts to obtain informed consent for the procedure, considered as a final therapeutic attempt, we present here the surgical technique used in a severe long-standing case with frequent symptoms that required a large number of admissions to our hospital and caused our patient considerable social, family and work-related psychological problems.
  
  
  RESULTS
  The surgical procedure was performed 14 months ago, with no further epistaxis since then, thus bringing to an end the emergency admissions, rated at 7 per year, and reducing consultations at the digestive and psychological clinics. The laboratory studies (haematocrit, complete blood count, bleeding time) have improved greatly.
  
  
  CONCLUSIONS
  This is a safe technique, well tolerated by the patient, that avoids additional pathologies and reduces costs.
authors.affiliation: Servicio de Otorrinolaringología, Complejo Hospitalario de Palencia, Palencia, España. jlalonsotreceno@hotmail.com
authors.forename: José L
authors.initials: JL
authors.lastname: Alonso-Treceño
authors.forename: Ignacio
authors.initials: I
authors.lastname: Alonso-Castañeira
authors.forename: José M
authors.initials: JM
authors.lastname: Escapa-Garrachón
authors.forename: Jesús
authors.initials: J
authors.lastname: Moralejo-Martín
authors.forename: Angela
authors.initials: A
authors.lastname: Enterría-González
authors.forename: Jorge
authors.initials: J
authors.lastname: Freijanes-Otero
mesh_terms: D004844:Epistaxis / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D015508:Nasal Obstruction / Q000209:etiology* / Q000473:pathology; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications* / Q000175:diagnosis